| Entity Name: | DOL PHYSICIANS OF AMERICA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Apr 2024 (9 months ago) |
| Document Number: | L24000191974 |
| Address: | 4509 N. ARMENIA AVE., TAMPA, FL, 33603, US |
| Mail Address: | 4509 N. ARMENIA AVE., TAMPA, FL, 33603, US |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659129534 | 2024-05-07 | 2024-05-07 | 4509 N ARMENIA AVE, TAMPA, FL, 336032703, US | 4509 N ARMENIA AVE, TAMPA, FL, 336032703, US | |||||||||||||||||
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| Phone | +1 813-873-7777 |
Authorized person
| Name | DEVANG PADALIA |
| Role | PRESIDENT |
| Phone | 8138737777 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PADALIA DEVANG | Agent | 1462 HARBOUR WALK ROAD, TAMPA, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| PADALIA DEVANG | Manager | 1462 HARBOUR WALK ROAD, TAMPA, FL, 33602 |
| RESHAMWALA MAYUR | Manager | 4509 N. ARMENIA AVE., TAMPA, FL, 33603 |
| Name | Role | Address |
|---|---|---|
| PADALIA DEVANG | Authorized Member | 1462 HARBOUR WALK ROAD, TAMPA, FL, 33602 |
| RESHAMWALA MAYUR | Authorized Member | 4509 N. ARMENIA AVE., TAMPA, FL, 33603 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
